Provider Demographics
NPI:1235674060
Name:LORI MURAYAMA-SUNG, MD INC
Entity Type:Organization
Organization Name:LORI MURAYAMA-SUNG, MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LORI
Authorized Official - Middle Name:SHIZUKO
Authorized Official - Last Name:MURAYAMA-SUNG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-222-9575
Mailing Address - Street 1:2756 PALI HWY APT K
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1497
Mailing Address - Country:US
Mailing Address - Phone:808-222-9575
Mailing Address - Fax:808-744-2640
Practice Address - Street 1:1520 LILIHA ST
Practice Address - Street 2:STE 402
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3562
Practice Address - Country:US
Practice Address - Phone:808-600-4245
Practice Address - Fax:808-744-2640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD 152192084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1942410824OtherLORI MURAYAMA-SUNG, MD PERSONAL NPI NUMBER